MEDICARE: MS. REBECCA SUE TURBEVILLE BS SPEECH & AUDIOLOG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1407291701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA SUE TURBEVILLE BS SPEECH & AUDIOLOG

Provider Business Mailing Address
First Line	:	200 HUMPHRIES ST
Second Line	:
City	:	CHARLOTTE
State	:	TN
Zip	:	37036-4902
Country	:	US
Telephone Number	:	615-740-5803
Fax Number	:	615-789-6388

Provider Business Practice Location Address
First Line	:	200 HUMPHRIES ST
Second Line	:
City	:	CHARLOTTE
State	:	TN
Zip	:	37036-4902
Country	:	US
Telephone Number	:	615-740-5803
Fax Number	:	615-789-6388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2013
Last Update Date	:	05/01/2013

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